Provider Demographics
NPI:1134921356
Name:CHAMBERS, JOHN RICHARD (ARPN, CNP)
Entity type:Individual
Prefix:
First Name:JOHN RICHARD
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:
Credentials:ARPN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6617 LEMITAR DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-2760
Mailing Address - Country:US
Mailing Address - Phone:702-465-3747
Mailing Address - Fax:
Practice Address - Street 1:6617 LEMITAR DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-2760
Practice Address - Country:US
Practice Address - Phone:702-465-3747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV811669207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine